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these are matters to discuss with a diabetes care team before starting

Metformin is primarily used for lowering blood glucose levels in patients with type 2 diabetes mellitus, gestational diabetes, patients with prediabetes, and sometimes in women with polycystic ovary syndrome (PCOS) who have insulin resistance
However, with significant weight loss often comes an undesirable side effect: loose, sagging skin

I kept my portions small and stuck with bland foods like toast and plain chicken

Unfortunately, additional serious side effects continue to be brought up, including complications from blood clots, such as deep vein thrombosis (DVT)